1Principles

Reduction

Consideration must be given to fracture reduction in:

Varus/valgus

Flexion/extension

Internal/external rotation

Translation

Lengthening/shortening

Reduction can be performed with a single reduction tool (e.g., large
distractor), or by combining several steps (for example fracture table +/-
external fixator, +/- reduction via the implant, etc.) to achieve the final
reduction.

The preferred method depends on the fracture and soft-tissue injury pattern,
the chosen stabilization device and the experience and skills of the
surgeon.

If a large fragment has separated from the fracture zone and impaled the
adjacent muscle, direct reduction of that fragment may be required.